1. Home
  2. Directory
  3. California
  4. Placerville
  5. Counselor
  6. NPI Profile

KAELAN VINCENT LOPEZ SUDRC
NPI 1811571680
Counselor - Addiction (Substance Use Disorder) in Placerville, CA

Active since May 07, 2021
2844 COLOMA ST, PLACERVILLE, CA 95667(530) 642-1715 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaelan Vincent Lopez Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAELAN VINCENT LOPEZ SUDRC (NPI 1811571680) is an individual addiction (substance use disorder) provider in Placerville, California, licensed in California (11812) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1811571680
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKAELAN VINCENT LOPEZCredential: SUDRC
Location Address2844 COLOMA STPlacerville, CA 95667-4406
Mailing AddressPo Box 1666Placerville, CA 95667-1666
Phone(530) 642-1715
Sole ProprietorNo
Enumeration DateMay 7, 2021
NPPES CertifiedMay 7, 2021
✔ NPI 1811571680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 11812
2844 COLOMA ST, Placerville, CA 95667
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL BODE-KESLER RASI
Specialist
2844 COLOMA ST, 19
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
SHAWNA MARIE DAVIDS
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
MATTHEW COLMAN MCCLUSKEY RADT-1
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 333-9460
MR. THOMAS MATHEW LAMBDIN
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
PROGRESS HOUSE, INC.
Substance Abuse Rehabilitation Facility
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
HEATHER RAIN BLACKBURN RADT
Counselor
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 644-3758
STEPHANIE J SCHMIDT
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
TIM REX CHRISTNER RADT-1
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 642-1715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaelan Lopez's NPI number?

The NPI number for Kaelan Lopez is 1811571680. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Kaelan Lopez located?

Kaelan Lopez practices at 2844 Coloma St, Placerville, CA 95667. The listed phone number is (530) 642-1715.

What is Kaelan Lopez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kaelan Lopez was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.